SearchLouisiana1041C0700X

Amy Fairchild, LCSW

NPI 1932782729 · on the registry since 2021 · sole proprietor

Practice

Address
1054 Sw Railroad Ave
Ponchatoula, LA 70454
Phone
(855) 869-9898
Fax
(985) 401-9898
Organisation at this address
Strawberry Patch Pediatrics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana